Traina, Kevin C

Traina, Kevin C is an individual health care provider with primary practice located at 94 South St , Southbridge MA 01550-4000. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Traina, Kevin C can be contacted via phone (508) 764-2772.

Contact Information

Primary practice address
94 South St Southbridge MA 01550-4000
Phone: (508) 764-2772
Fax: (508) 764-2833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 412 Massachusetts

Profile Details

NPI number 1598743569
LBN Legal business name Traina, Kevin C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Mar 24th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598743569 NPPES
Other 042472266 TRICARE CHAMPUS
Other 970022720 TRICARE CHAMPUS
Other AP0183 TRICARE CHAMPUS
Other 042472266 TRICARE CHAMPUS
Other 64772 TRICARE CHAMPUS
Other 8300940 TRICARE CHAMPUS

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